针对膝关节骨性关节炎患者的无监督在线太极项目（"我的关节太极"）：RETREAT随机对照试验研究方案

Osteoarthritis and cartilage open Pub Date : 2024-10-24 DOI:10.1016/j.ocarto.2024.100536

Shiyi Julia Zhu , Rachel K. Nelligan , Rana S. Hinman , Alexander J. Kimp , Peixuan Li , Anurika De Silva , Jenny Harrison , Kim L. Bennell

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引用次数: 0

摘要

背景膝关节骨关节炎（OA）是导致全球残疾的主要原因之一，而运动被证明是一种有效的治疗方法。太极拳是一种值得推荐的锻炼方式，但它主要是由个人进行的，这就带来了无障碍问题。本研究旨在评估在线无监督计划与在线教育对照组相比，在提供在线教育信息和运动坚持支持的情况下，对膝关节OA患者膝关节疼痛和身体功能变化的影响。方法将开展一项双臂、优越性平行设计、实用随机对照试验，共有178名临床诊断为膝关节OA的患者参与。在完成基线评估后，参与者将被随机分配到：i）"我的关节教育"，一个仅包含OA信息的教育对照网站；或ii）"我的关节太极"，一个包含与对照网站相同信息的干预网站，一个为期12周、每周3次在家进行的无监督在线太极课程，以及关于坚持锻炼支持应用程序的信息。所有参与者将在随机分组后 12 周接受重新评估。讨论该随机对照试验将提供证据，说明 "我的关节太极 "网站与 "我的关节教育 "网站相比，对膝关节OA患者自我报告的膝关节疼痛和身体功能的有效性。

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An unsupervised online Tai Chi program for people with knee osteoarthritis (“My Joint Tai Chi”): Study protocol for the RETREAT randomised controlled trial

Background

Knee osteoarthritis (OA) is a leading contributor to global disability, with exercise proven to be an effective treatment. Tai Chi is a recommended type of exercise, but it is primarily done in person which imposes an accessibility issue. This study aims to evaluate the effects of an online unsupervised program, when provided with online educational information and exercise adherence support, on changes in knee pain and physical function, when compared to online education control for people with knee OA.

Methods

A two-arm, superiority parallel-design, pragmatic randomised controlled trial will be conducted involving 178 people with a clinical diagnosis of knee OA. After completing baseline assessment, participants will be randomly assigned to either: i) “My Joint Education”, an education control website containing OA information only; or ii) “My Joint Tai Chi”, an intervention website containing the same information as the control, a 12-week unsupervised online Tai Chi program to be undertaken at home 3 times a week, and information about an exercise adherence support app. All participants will be reassessed at 12 weeks after randomisation. Primary outcomes are overall knee pain during walking and physical function using the Western Ontario and McMaster Universities Osteoarthritis Index subscale.

Discussion

This randomised controlled trial will provide evidence about the effectiveness of the “My Joint Tai Chi” website compared to “My Joint Education” website on self-reported knee pain and physical function for people with knee OA.